Please complete a separate form for each new title. Electronic copies of the title, contents and copyright/imprint page, and any additional information you'd like to provide, can be attached to this form. You can also fax or post attachments.

Where information requested in this form is fully covered in the material you supply, there is no need to complete the relevant sections. You should allow 3 working days for processing, however please advise us if your request is urgent.

Publisher's Details
(as it will appear in the book)
(Required)
(if different from above)
(Complete this field if your address has changed since your last contact with us. Please be as specific as possible.)
(Complete this field if your phone number has changed since your last contact with us)
Contact details
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Request
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(M/Y)
(as they will appear on the title page)
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(if different from the title of this book)
(if present, as it appears in the book, eg 3rd edition)
Please enter the full author statement exactly as it appears on the title page. This includes all authors, editors, illustrators, and so on. Incl;ude any words indicating their roles or functions, e.g. "By Deborah Wells BA, LLB, photographs by W.R. McCormack; prepared under the direction of Hillerich-Woodmere Inc." Please be as specific as possible.
If possible, and with their permission, please supply a full name and year of birth for each person named above. This helps us to distinguish people with identical names.


(Describe the main topic/s, theme/s and/or places covered. Please be as specific as possible.)


please provide the title of the series exactly as it appears in the book, along with any series numbering (for example, "Studies in modern poetry, vol 8")






(for example a CD-ROM, cassette tape, map, pamphlet)


Where applicable please give the ISBNs and associated prices for both hardback and paperback bindings of the same title (an approximate price is fine).
(For example, notes on author's previous works, restrictions, embargoes. Please be as specific as possible.)
Please send a copy of the title page and other material (if available) by attaching your files to this form using the fields below. Use the browse buttons to locate the files you want to attach. You can attach one file per field.